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Dr. Joseph A. Hughes III, MD

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Specializes in: Interventional Radiology/Diagnostic Radiology (IR/DR) and Diagnostic Radiology

Virginia Commonwealth University (VCU) School of Medicine

Professional interests include: fibroids (leiomyoma), venous disease, thoracentesis, and more.

1906 BELLEVIEW AVENUE
ROANOKE, VA 24014

(540) 981-7083

Dr. Joseph A. Hughes III, MD is a radiologist in ROANOKE, VA specializing in interventional radiology/diagnostic radiology (ir/dr) and diagnostic radiology. He graduated from Virginia Commonwealth University (VCU) School of Medicine. Dr. Joseph A. Hughes III, MD is affiliated with Carilion Clinic.

Office Locations

1906 BELLEVIEW AVENUE
ROANOKE, VA 24014

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127 McClanahan Street Suite 201
Roanoke, VA 24014

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2900 LAMB CIRCLE
CHRISTIANSBURG, VA 24073

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Some issues Dr. Joseph A. Hughes III, MD can help you with:

Biopsy

A biopsy is a procedure performed to remove a small sample of cells for testing. The cells are examined in a laboratory to check for disease, or sometimes to see how badly a known disease is affecting them. Biopsy can be performed on any part of the body.

Although biopsy is most often associated with cancer, it can also be used to check for other diseases, such as infections. A biopsy sample can be scraped, cut, collected with a needle, taken with a machine that punches out a tiny piece, or removed with the tiny tools in an endoscope.

In most cases, a biopsy is a simple outpatient procedure. Depending on the procedure, patients may need to stop taking certain medications beforehand, such as blood thinners. It is important for patients to tell doctors if they are pregnant, as certain biopsies require the use of x-rays to guide the needle to the right location. There is usually very little pain associated with a biopsy. Patients will have to wait a few days to hear the results.

Lung Issues

Every cell in the body requires oxygen to function and produces carbon dioxide as a waste product. In order to keep the body's tissues constantly supplied with fresh oxygen and to keep waste from building up, the lungs pump air in and out, even while sleeping or unaware. Unfortunately, diseases and disorders affecting the lungs are some of the most common medical problems afflicting people around the world. Some of the most common lung problems include asthma, COPD, pneumonia, and lung cancer.

Asthma is a chronic disease where swollen, inflamed airways make it hard to breathe. It is often brought on by specific triggers. While asthma is a common condition, affecting millions of people, it can also be serious and even fatal in severe cases. Treatment involves avoiding triggers and using inhaled corticosteroid medications.

COPD, or Chronic Obstructive Pulmonary Disease, is the name given to two illnesses that both cause difficulty breathing: emphysema and chronic bronchitis. In emphysema, the air sacs of the lungs become damaged, while with bronchitis they become clogged with mucus. COPD is the fourth leading cause of death in the United States. It is almost always caused by breathing irritants into the lungs, such as smoking or heavy pollution.

Pneumonia is a lung infection that can be caused by bacteria, a virus, or fungi. Most healthy people recover from pneumonia in a week or two, but for some people pneumonia can be fatal. There are treatments available for pneumonia, but the best treatment is to prevent getting sick in the first place. People who are at risk should make sure they get a flu shot every year. There is also a vaccine available for the type of bacteria that causes pneumonia.

Lung cancer occurs when abnormal cells inside the lung grow into a tumor, destroying healthy tissue. Because it is so difficult to detect lung cancer in early stages when it has few symptoms, it is the deadliest form of cancer, responsible for the most cancer deaths both in the U.S. and worldwide. Most lung cancer is caused by exposure to tobacco smoke, but between 10-15% of cases are not linked to smoking.

Some problems with the lungs are minor and are not cause for concern. However if symptoms have lasted for a month or more, even if they are minor, it is worth checking with a healthcare professional. A cough, shortness of breath, or excess mucus production that lingers for weeks are all worth getting looked at.

Radioembolization (Selective Internal Radiation Therapy)

Radioembolization, or selective internal radiation therapy (SIRT), is a minimally invasive procedure that uses radiation to treat liver tumors. By targeting the hepatic artery, or the main blood vessel that supplies the liver, radioembolization can cut off the blood supply to liver tumors. The tumors shrink, and minimal damage is done to healthy tissue. Radioembolization is a treatment option for tumors that cannot be removed by surgery or other radiation therapies, for liver cancer that is confined to the liver, or for liver cancer patients that have more than 3 months of life expectancy.

To perform radioembolization, a catheter is inserted into an artery in the groin and threaded to the liver. Radioactive beads, or pellets, are delivered through the catheter. The pellets will continuously deliver radiation for 10-14 days. The pellets will remain in the body permanently without causing any complications. If the tumor or cancer is confined to one portion of the liver, radioembolization will be performed in one treatment session. If both sides of the liver are affected, a second treatment session will be done about 8 weeks after the first.

Typically, most patients can return home and do light activity within hours following the procedure. Patients will be given medication to treat any possible side effects, which can include nausea, fever, abdominal pain, or tiredness.

Noteworthy Medicare Patient Procedures Performed by Dr. Joseph A. Hughes III, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

image-guided drainage

insertion of indwelling pleural catheter

insertion of non-tunneled indwelling pleural catheter

thoracostomy

tube thoracostomy

In 2023, Dr. Joseph A. Hughes III, MD had a list price for image-guided drainage, insertion of indwelling pleural catheter, insertion of non-tunneled indwelling pleural catheter, thoracostomy, and tube thoracostomy (chest tube insertion) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Virginia. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

In 2023, Dr. Joseph A. Hughes III, MD had a list price for angiogram (angiography), arteriogram, visceral (abdominal organ) angiogram, and visceral arteriogram that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Virginia. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

hospital care

inpatient care

inpatient hospital care

liver biopsy

liver core needle biopsy

liver needle biopsy

In 2012, Dr. Joseph A. Hughes III, MD had a list price for hospital care, inpatient care, inpatient hospital care (for patient admitted to hospital), liver biopsy, liver core needle biopsy, and liver needle biopsy that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Virginia. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2013 were minimally invasive procedures, aspiration, spinal procedures and inpatient care.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

abscess drainage	15
aspiration	91
catheterization	61
diagnostic procedures	68
hospital care	78
image guided procedures	30
injections	75
inpatient care	78
minimally invasive procedures	147
minor procedures	51
nerve block	49
pain management	49
pleural drainage	51
spinal procedures	79
thoracostomy	26
vascular procedures	60

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	222
Female	266

**Ethnicity**
Non-Hispanic White	430
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	182
From 75 to 84	146
85 and over	45
Less than 65	115

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2013

Hypertension	75
High Cholesterol	61
Stroke	9
Ischemic Heart Disease	45
Depression	40
Chronic Kidney Disease	49
Asthma	8
Osteoperosis	13
Atrial Fibrilation	19
Heart Failure	40
Chronic Obstructive Pulmonary Disease	27
Diabetes	41
Dementia	13
Cancer	23

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2014 were inpatient care, hospital care, spinal procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	111
catheterization	63
device removal	11
diagnostic procedures	76
doctor visit	32
hospital care	197
image guided procedures	24
injections	90
inpatient care	197
minimally invasive procedures	122
minor procedures	44
nerve block	68
pain management	68
pleural drainage	73
spinal procedures	123
thoracostomy	30
urologic procedures	25
vascular procedures	51

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	283
Female	323

**Ethnicity**
Non-Hispanic White	523
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	257
From 75 to 84	150
85 and over	60
Less than 65	139

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2014

Hypertension	75
High Cholesterol	62
Stroke	9
Ischemic Heart Disease	42
Depression	37
Chronic Kidney Disease	47
Asthma	11
Osteoperosis	9
Atrial Fibrilation	18
Heart Failure	35
Chronic Obstructive Pulmonary Disease	26
Diabetes	42
Dementia	12
Cancer	27

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2015 were minimally invasive procedures, vascular procedures, catheterization and inpatient care.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	66
catheterization	75
device removal	13
diagnostic procedures	18
doctor visit	49
hospital care	68
image guided procedures	13
injections	29
inpatient care	68
minimally invasive procedures	111
minor procedures	18
nerve block	12
pain management	12
pleural drainage	67
spinal procedures	12
thoracostomy	33
urologic procedures	25
vascular procedures	88

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	450
Female	410

**Ethnicity**
Non-Hispanic White	752
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	348
From 75 to 84	248
85 and over	86
Less than 65	178

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2015

Hypertension	75
High Cholesterol	66
Stroke	10
Ischemic Heart Disease	52
Depression	44
Chronic Kidney Disease	57
Asthma	25
Osteoperosis	9
Atrial Fibrilation	24
Heart Failure	43
Chronic Obstructive Pulmonary Disease	35
Diabetes	48
Dementia	15
Cancer	25

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2016 were minimally invasive procedures, aspiration, hospital care and inpatient care.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	64
catheterization	32
diagnostic procedures	40
doctor visit	47
hospital care	61
image guided procedures	12
injections	20
inpatient care	61
minimally invasive procedures	72
minor procedures	40
pleural drainage	36
thoracostomy	20
vascular procedures	47

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	185
Female	199

**Ethnicity**
Non-Hispanic White	324
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	155
From 75 to 84	101
85 and over	32
Less than 65	96

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2016

Hypertension	75
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	52
Depression	42
Chronic Kidney Disease	65
Asthma	34
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	42
Chronic Obstructive Pulmonary Disease	31
Diabetes	49
Dementia	22
Cancer	30

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2017 were aspiration, minimally invasive procedures, catheterization and minor procedures.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	100
catheterization	65
diagnostic procedures	55
doctor visit	36
hospital care	28
image guided procedures	16
injections	16
inpatient care	28
minimally invasive procedures	88
minor procedures	55
pleural drainage	40
thoracostomy	17
vascular procedures	27

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	217
Female	217

**Ethnicity**
Non-Hispanic White	378
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	179
From 75 to 84	124
85 and over	40
Less than 65	91

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2017

Hypertension	75
High Cholesterol	60
Stroke	9
Ischemic Heart Disease	53
Depression	46
Chronic Kidney Disease	65
Asthma	12
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	43
Chronic Obstructive Pulmonary Disease	37
Diabetes	43
Dementia	22
Cancer	28

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2018 were minimally invasive procedures, hospital care, inpatient care and minor procedures.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	61
catheterization	49
diagnostic procedures	76
hospital care	80
image guided procedures	18
inpatient care	80
lymph node procedures	11
minimally invasive procedures	116
minor procedures	76
pleural drainage	24
thoracostomy	11
vascular procedures	49

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	213
Female	220

**Ethnicity**
Non-Hispanic White	375
Black	46
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	181
From 75 to 84	114
85 and over	47
Less than 65	91

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2018

Hypertension	75
High Cholesterol	67
Stroke	7
Ischemic Heart Disease	55
Depression	42
Chronic Kidney Disease	71
Asthma	9
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	44
Chronic Obstructive Pulmonary Disease	33
Diabetes	46
Dementia	21
Cancer	27

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2019 were vascular procedures, minimally invasive procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	43
catheterization	53
diagnostic procedures	62
doctor visit	32
hospital care	97
image guided procedures	14
inpatient care	97
minimally invasive procedures	100
minor procedures	62
vascular procedures	107

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	209
Female	206

**Ethnicity**
Non-Hispanic White	366
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	164
From 75 to 84	126
85 and over	48
Less than 65	77

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2019

Hypertension	75
High Cholesterol	67
Stroke	9
Ischemic Heart Disease	56
Depression	39
Chronic Kidney Disease	67
Asthma	8
Osteoperosis	10
Atrial Fibrilation	21
Heart Failure	49
Chronic Obstructive Pulmonary Disease	35
Diabetes	46
Dementia	22
Cancer	30

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2020 were hospital care, inpatient care, aspiration and minor procedures.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	37
catheterization	11
diagnostic procedures	33
doctor visit	21
hospital care	52
inpatient care	52
minimally invasive procedures	33
minor procedures	33

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	131
Female	137

**Ethnicity**
Non-Hispanic White	239
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	120
From 75 to 84	84
85 and over	18
Less than 65	46

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2020

Hypertension	75
High Cholesterol	68
Stroke	8
Ischemic Heart Disease	49
Depression	40
Chronic Kidney Disease	68
Asthma	9
Osteoperosis	12
Atrial Fibrilation	16
Heart Failure	35
Chronic Obstructive Pulmonary Disease	33
Diabetes	41
Dementia	19
Cancer	31

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2021 were hospital care, inpatient care, aspiration and minimally invasive procedures.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	82
catheterization	34
diagnostic procedures	25
hospital care	90
image guided procedures	24
inpatient care	90
minimally invasive procedures	49
minor procedures	25
pleural drainage	23

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	189
Female	165

**Ethnicity**
Non-Hispanic White	316
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	155
From 75 to 84	107
85 and over	37
Less than 65	55

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2021

Hypertension	75
High Cholesterol	70
Stroke	10
Ischemic Heart Disease	47
Depression	34
Chronic Kidney Disease	67
Asthma	10
Osteoperosis	8
Atrial Fibrilation	20
Heart Failure	43
Chronic Obstructive Pulmonary Disease	27
Diabetes	43
Dementia	21
Cancer	34

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA during 2022 were hospital care, inpatient care, aspiration and pleural drainage.

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

aspiration	76
diagnostic procedures	13
doctor visit	20
hospital care	130
inpatient care	130
minimally invasive procedures	13
minor procedures	13
pleural drainage	23
vascular procedures	19

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	152
Female	165

**Ethnicity**
Non-Hispanic White	283
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	120
From 75 to 84	103
85 and over	49
Less than 65	45

Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	35
Depression	37
Chronic Kidney Disease	51
Asthma	8
Osteoperosis	13
Atrial Fibrilation	32
Heart Failure	43
Chronic Obstructive Pulmonary Disease	31
Diabetes	41
Dementia	16
Cancer	32

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2022

Volume of procedures performed by Dr. Joseph A. Hughes III, MD for Medicare patients.

The highest averages for the top procedures that Dr. Joseph A. Hughes III, MD treated as a radiologist in ROANOKE, VA were inpatient care, hospital care, minimally invasive procedures and aspiration.

abscess drainage	15
aspiration	73
catheterization	49
device removal	12
diagnostic procedures	46
doctor visit	33
hospital care	88
image guided procedures	18
injections	46
inpatient care	88
lymph node procedures	11
minimally invasive procedures	85
minor procedures	41
nerve block	43
pain management	43
pleural drainage	42
spinal procedures	71
thoracostomy	22
urologic procedures	25
vascular procedures	56

Average Medicare Patient Data From 2013 - 2022

Information about Medicare patients treated by Dr. Joseph A. Hughes III, MD.

**Gender**
Male	225
Female	230

**Ethnicity**
Black / African American	4
Asian / Pacific Islander	0
Non-Hispanic White	398
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	130
85 and over	46
Less than 65	93
65 to 74	186

Average of Total of Conditions of Medicare patients treated by Dr. Joseph A. Hughes III, MD From 2013 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Joseph A. Hughes III, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	66
Stroke	9
Ischemic Heart Disease	48
Depression	40
Chronic Kidney Disease	60
Asthma	13
Osteoporosis	10
Heart Failure	41
Chronic Obstructive Pulmonary Disease	31
Diabetes	44
Atrial Fibrillation	21
Dementia	18
Cancer	28

Education & Training

Dr. Joseph A. Hughes III, MD graduated from Virginia Commonwealth University (VCU) School of Medicine. He completed residency at Penn State Hershey Medical Center. He is certified by the American Board of Radiology and has a state license in Virginia.

Medical School: Virginia Commonwealth University (VCU) School of Medicine

Residency: Penn State Hershey Medical Center

Board Certification: American Board of Radiology

Licensed In: Virginia

Affiliations & Hospitals

Dr. Joseph A. Hughes III, MD is associated with these hospitals and organizations:

Carilion Clinic

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Joseph A. Hughes III, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Penumbra, Inc.	$4,190 Indigo System $1,972	Indigo $1,263	POD $768	Penumbra System $112	Penumbra Ruby Coil $75
Ethicon Endo-Surgery Inc.	$1,030 $1,030
Siemens Medical Solutions USA, Inc.	$628 Artis Q $270	SOMATOM AS $33	$325
Boston Scientific Corporation	$93 GENERAL THERAPIES $93
Medtronic Vascular, Inc.	$86 IN.PACT Admiral $86
Other	$72 CT THROMBECTOMY SYSTEM KIT $59	Azur CX Detachable $13

**Types of Payments**
Travel and Lodging	$4,772
Food and Beverage	$1,326

Biography

Dr. Joseph Hughes is a specialist in interventional radiology/diagnostic radiology (IR/DR) and diagnostic radiology. He works in Roanoke, VA and Christiansburg, VA. These areas are among his clinical interests: portal hypertension, radioembolization (selective internal radiation therapy), and cryosurgery. He graduated from Virginia Commonwealth University (VCU) School of Medicine and then he performed his residency at Penn State Hershey Medical Center. Dr. Hughes is professionally affiliated with Carilion Healthcare Corporation and Carilion Medical Center. Doctor.com reports that he is accepting new patients at his office in ROANOKE, VA.